Enter data in appropriate fields. If your county does not have a particular position, you may leave those fields blank. Use the “tab” key to navigate through the fields. Blank fields are available at the end of the form for positions not appearing on the form. When you have completed the form, click on the “submit” button at the bottom of the form. The form will be sent immediately to the PBA County Bar Office.

County:

Next Election:

Your Name

Your Phone Number

(You may be contacted to confirm)

President

President-Elect

Vice President

First Vice President

Second Vice President

Treasurer

Secretary

Executive Director

Fee Dispute Contact

Legislative Representative

Pro Bono Coordinator

CLE Chairperson

Law Day Chairperson

Young Lawyers Chairperson

Positions Not Listed

Position

Name

Positions Not Listed

Position

Name

Positions Not Listed

Position

Name

Additional Information

For security reasons, please enter the following 5 lettersFODWXthen click the submit button.